EMPOWERING PATIENTS THROUGH

KINOME INNOVATION

Overview of ITK Portfolio

May 7, 2024

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

Cautionary Note Regarding Forward-Looking Statements

Any statements contained in this presentation that do not describe historical facts may constitute forward-looking statements as that term is defined in the Private Securities Litigation Reform Act of 1995. These statements may be

identified by words such as "anticipate," "believe," "expect," "intend," "may," "plan," "potential," "will," and similar

expressions, and are based on Aclaris' current beliefs and expectations. These forward-looking statements include expectations regarding the development of ATI-2138, including the commencement of a Phase 2a clinical trial, and the development of a next-generation ITK selective inhibitor. These statements involve risks and uncertainties that could cause actual results to differ materially from those reflected in such statements. Risks and uncertainties that may cause actual results to differ materially include uncertainties inherent in the conduct of clinical trials, Aclaris' reliance on third parties over which it may not always have full control, Aclaris' ability to enter into strategic partnerships on commercially reasonable terms, the uncertainty regarding the macroeconomic environment and other risks and uncertainties that are described in the Risk Factors section of Aclaris' Annual Report on Form 10-K for the year ended December 31, 2023, and other filings Aclaris makes with the U.S. Securities and Exchange Commission from time to time. These documents are available under the "SEC Filings" page of the "Investors" section of Aclaris' website at www.aclaristx.com. Any forward- looking statements speak only as of the date of this presentation and are based on information available to Aclaris as of the date of this presentation, and Aclaris assumes no obligation to, and does not intend to, update any forward-looking statements, whether as a result of new information, future events or otherwise.

This presentation also contains estimates and other statistical data made by independent parties and by us relating to market size and other data about our industry. These data involve a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. In addition, projections, assumptions and estimates of our future performance and the future performance of the markets in which we operate are necessarily subject to a high degree of uncertainty and risk.

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

2

ATI-2138: A First Generation Novel ITK/JAK3 Inhibitor for T Cell-Mediated Diseases

(Investigational Drug Candidate)

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

3

ATI-2138 is a Combined Covalent IL-2-Inducible Tyrosine Kinase (ITK) & JAK3 Inhibitor for Autoimmune Disease

1

2

ATI-2138

  • ATI-2138is an investigational oral compound which interrupts T cell receptor (TCR) signaling by inhibiting ITK and JAK3 signaling of common γ chain cytokines in lymphocytes (including IL-2 & IL-15) and is designed to reduce T cell differentiation, proliferation and cytokine production
  • ATI-2138is differentiated from other kinase inhibitors as it is highly potent for both ITK and JAK3 (IC50: 0.2nM ITK; 0.5nM JAK3)3
  • Aclaris is evaluating ATI-2138 for the potential treatment of a number of T cell-mediated autoimmune diseases including atopic dermatitis

1. Lechner KS, Neurath MF, Weigmann B. Role of the IL-2 inducible tyrosine kinase ITK and its inhibitors in disease pathogenesis. J Mol Med (Berl). 2020 98(10):1385-1395; 2. Forster M, Gehringer M, Laufer SA. Recent advances in JAK3 inhibition: Isoform selectivity by covalent cysteine targeting. Bioorg Med Chem Lett. 2017 15;27(18):4229-4237; 3. Study Report SR03001

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

4

ATI-2138 Covalently Inhibits ITK and JAK3

ATI-2138 was designed to interact with the ATP site and covalently modifies CYS442 in ITK and CYS909 in JAK3

ATI-2138

CYS442

Design guided by modeling and proprietary

Other oral drugs have successfully targeted these

crystal structures

cysteines in kinases

ATI-2138 modeled into ITK kinase domain 3QGY

-

Ritlecitinib (JAK3), Ibrutinib (BTK)

ATI-2138 interacts with CYS909 in JAK3

-

Afatinib, Neratinib (EGFR/Her2)

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

5

ATI-2138: Potential for Meaningful Differentiation

ATI-2138, by modulating both TCR signaling (via ITK blockade) and cytokine signaling (via JAK3 blockade), is a T cell focused modulator and potentially ideal for treating autoimmune diseases with high unmet medical need

Cell IC50, nM

ITK

JAK3

JAK1/2

(Jurkat/pPLCγ1)

hPBMC IL-2/pSTAT5

hPBMC IFNγ/pSTAT1

ATI-2138

8 (81-fold)

23 (2.3-fold)

Inactive

Tofacitinib

Inactive

11

205

Ritlecitinib

652

54

Inactive

ATI-2138 differs from both JAK inhibitors and ritlecitinib in important ways:

  • Unlike approved JAK inhibitors, ATI-2138 is specific for JAK3 - does not inhibit other JAKs, including JAK2 which can lead to anemia
  • Although both ATI-2138 and ritlecitinib are selective for JAK3, ATI-2138's potency on ITK is 20-80X greater than ritlecitinib

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

6

ATI-2138 Differentiation from Ritlecitinib

Dual ITK and JAK3 Inhibitors

ITK: HWB αCD3 Stimulated IFNγ ReleaseJAK3: HWB IL2 Stimulated IFNγ Release

ATI

-2138

ATI-2138

Ritlecitinib

Ritlecitinib

44.4x

5.4x

  • ATI-2138is 44.4x more potent than ritlecitinib for inhibiting αCD3 induced IFNγ production (ITK) and 5.4x more potent for inhibiting JAK3 dependent IL-2 induced IFNγ production in human whole blood
  • At the FDA recommended 50 mg QD dose for alopecia areata, ritlecitinib plasma levels may not impact the anti-CD3 /IFNγ IC50 for any appreciable time
  • In the ATI-2138 MAD study, the 5-40 mg BID doses inhibited up to 50%-90% of both ITK and JAK3 PD markers

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

7

ITK Modulates T Cell Differentiation and Activation

Skews T Helper Cell Differentiation Towards Th2 and Th17 Phenotypes

  • ITK has a nonredundant role in the
    differentiation and activation of TH2 and TH17 cells
  • Knockdown or inhibition of ITK in mice and humans results in skewing of T
    helper cells from TH2 and TH17 toward TH1 and Treg
  • Blockade of TH2 function inhibits production of IL-4 and IL-13, two cytokines with demonstrated importance in atopic diseases

TH1 ITK/TXK

TH2

ITK

ITK

ITK

TH17

ITK

Treg ITK/TXK

  1. Sig Trans 2011:DOI:10.1155/2011/297868

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

8

ATI-2138Dose-Dependently Inhibited Adjuvant Induced Arthritis (AIA) in Rats

Ankle Diameter Swelling and Histology

  • Semi-therapeuticmodel with PO dosing beginning on day 6 after FCA injection (Bolder BioPath)1,2
  • No significant difference between 5 mg/kg BID, 15 mg/kg BID and 30 mg/kg QD
  1. Study report RAIA-FCA-CFC-1
  2. Data on file

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

9

ATI-2138Dose-Dependently Inhibited Inflammation in the Mouse T Cell Transfer Model of Inflammatory Bowel Disease

Proximal Colon

Distal Colon

Ileum

ATI-2138 inhibited colitis in

ATI-2138dose-dependently

Greater effect than anti-IL12

decreased inflammation in

(P40) that significantly

the mouse T cell transfer

proximal and distal colon, and

decreased inflammation in

model1,2,3

ileum

the proximal and distal colon

1. Study report SR03048; 2. CD4+CD45RB high naïve T cells injected to SCID mice; 3. *p<0.05, **p<0.01, ***p<0.001, vs Control group

© Copyright 2024 Aclaris Therapeutics, Inc. All rights reserved

10

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Aclaris Therapeutics Inc. published this content on 07 May 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 07 May 2024 20:47:52 UTC.